Individual
MISS PAULA WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8493
(505) 865-3350
Mailing address
PO BOX 518, LOS LUNAS, NM 87031-0518
(505) 865-3350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
03/31/2011
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